Commonly Asked Questions about Addiction and Treatment
Why do drug addicts do what they do?
"People with substance use disorders engage in their behavior for various reasons, often complex and interconnected. Understanding these reasons is crucial to treating addiction. Here are some common factors:
Pleasure Seeking: Drugs often produce intense feelings of pleasure, euphoria, or relief from pain. The initial high can be so powerful that individuals continue using the substance to experience that feeling again.
Escape or Self-Medication: Many people use drugs as a way to escape from reality or cope with difficult feelings, trauma, stress, or mental health conditions such as anxiety, depression, or PTSD. Drugs can temporarily dull these feelings, but they do not address the root cause of the distress.
Physical Dependence: Over time, the body can develop a physical dependence on the substance, requiring it to function normally. Without the substance, the individual may experience unpleasant or even life-threatening withdrawal symptoms.
Psychological Dependence: Even after physical dependence is managed, psychological cravings can persist. The desire to use drugs can become a powerful mental urge that dominates a person's thoughts and behaviors.
Peer Pressure or Social Influence: The influence of friends or social circles where drug use is common can encourage initial use or ongoing abuse of drugs.
Genetic Factors and Early Exposure: Genetics can play a role in vulnerability to addiction, as can exposure to drugs at a young age or in the prenatal period.
Lack of Coping Mechanisms: Without healthy coping strategies for life's stresses and challenges, some people turn to drugs as a way of dealing with these issues.
Changes in Brain Function: Long-term substance use can lead to changes in the brain that result in increased cravings and decreased ability to resist drug use, despite harmful consequences.
Can I successfully get treatment for my addiction to alcohol on an outpatient basis?
"Yes, it is possible to successfully receive treatment for alcohol addiction on an outpatient basis. Outpatient treatment programs can be an effective and flexible option for individuals who cannot commit to inpatient or residential programs due to work, family, or other responsibilities. However, the success of outpatient treatment largely depends on the individual's motivation, support system, and the severity of their addiction. While outpatient treatment can be successful for many individuals, it may not be suitable for everyone. Those with severe alcohol addiction, a history of relapse, or co-occurring mental health disorders may require more intensive inpatient or residential treatment to ensure their safety and promote lasting recovery.
Ultimately, the success of outpatient treatment for alcohol addiction depends on the individual's commitment, the support of their family and friends, and the quality of the treatment program. It is essential to choose a reputable and evidence-based outpatient program and to be fully engaged in the recovery process for the best possible outcome."
Will insurance companies pay for substance abuse treatment?
Yes, many insurance companies do provide coverage for substance abuse treatment, but the extent and specifics of the coverage can vary widely depending on the individual insurance policy and the provider.
This coverage is largely due to the Mental Health Parity and Addiction Equity Act of 2008 in the United States, which requires health insurers and group health plans to provide the same level of benefits for mental and/or substance use treatment and services that they do for medical/surgical care.
Here's a closer look at some key aspects:
Types of Treatment Covered: Many insurance policies cover a range of substance abuse treatments, including detoxification, inpatient rehab, outpatient rehab, medication-assisted treatment, and ongoing counseling or therapy. However, the specific treatments covered will depend on your particular insurance policy.
Co-Pays and Deductibles: Even if an insurance policy covers substance abuse treatment, you may still be responsible for co-pays, deductibles, or coinsurance. These costs can vary depending on the specifics of your insurance plan.
Network Restrictions: Some insurance plans may only cover treatment provided by certain providers or facilities within their network. It's important to check with your insurance company to determine which providers are covered under your plan.
Preauthorization: Some insurance plans require preauthorization for certain types of substance abuse treatment. This means that the treatment must be approved by the insurance company before they will cover the cost.
Duration of Coverage: The duration of coverage for substance abuse treatment can vary. Some insurance plans may only cover a certain number of days of inpatient treatment or a certain number of therapy sessions, for example.
Affordable Care Act (ACA): Under the ACA, all health insurance plans sold on Health Insurance Exchanges must cover substance use disorder services.